| Organization Name: | CROSSROADS HOSPICE OF CLEVELAND LLC |
| NPI Number: | 1730329681 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CLAYTON LEE FARMER (SECRETARY) |
| Mailing Address: | 9775 Rockside Rd Suite 270 Cleveland |
| State: | OH US |
| Postal Code: | 441256274 |
| Phone Number: | 2166549300 |
| Fax Number: | 2166549299 |
| NPI Enumeration Date: | 03/04/2009 |
| NPI Last Update Date: | 11/13/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 0190HSP |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |